肺炎误诊肺结核57例分析
目的 了解肺炎误诊肺结核的因素.方法 对内科57例肺炎误诊肺结核病例进行回顾性分析.结果 误诊率22.3%(57/256);临床表现为午后发热56%,盗汗28%,痰中带血17.5%,X线胸片病变位于肺尖后段、下叶背段占59.6%;白细胞总数在4.0×109～10.0×109/L占64.9%;痰普培阳性14%.结论 (1)误诊原因:临床症状不典型,胸片及血常规检查难与肺结核区别;(2)预防措施:对胸片显示斑片阴影、临床症状不典型者可用广谱抗生素行至少2周抗菌治疗观察,反复痰查结核菌及普通细菌培养,不宜选用链霉素或利福平抗菌治疗....
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| Veröffentlicht in: | Zhongguo fanglao tongxun 2007, Vol.29 (6), p.523-525 |
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| creator | 吕嘉林 孙怡芬 胡培安 |
| description | 目的 了解肺炎误诊肺结核的因素.方法 对内科57例肺炎误诊肺结核病例进行回顾性分析.结果 误诊率22.3%(57/256);临床表现为午后发热56%,盗汗28%,痰中带血17.5%,X线胸片病变位于肺尖后段、下叶背段占59.6%;白细胞总数在4.0×109～10.0×109/L占64.9%;痰普培阳性14%.结论 (1)误诊原因:临床症状不典型,胸片及血常规检查难与肺结核区别;(2)预防措施:对胸片显示斑片阴影、临床症状不典型者可用广谱抗生素行至少2周抗菌治疗观察,反复痰查结核菌及普通细菌培养,不宜选用链霉素或利福平抗菌治疗. |
| doi_str_mv | 10.3969/j.issn.1000-6621.2007.06.013 |
| format | Article |
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| fulltext | fulltext |
| identifier | ISSN: 1000-6621 |
| ispartof | Zhongguo fanglao tongxun, 2007, Vol.29 (6), p.523-525 |
| issn | 1000-6621 |
| language | chi |
| recordid | cdi_wanfang_journals_zgflzz200706013 |
| source | Alma/SFX Local Collection |
| subjects | 结核,肺/诊断 肺炎 误诊 |
| title | 肺炎误诊肺结核57例分析 |
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